Provider First Line Business Practice Location Address:
800 K SOUTH SALISBURY BLVD.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SALISBURY
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-546-1369
Provider Business Practice Location Address Fax Number:
410-546-5987
Provider Enumeration Date:
12/21/2006